{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:35:34Z","timestamp":1793352934051,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The National Pediatric Readiness Project (NPRP) offers an evidence-based framework for pediatric emergency readiness, yet implementation in general emergency departments (GEDs) remains variable. The Pediatric Emergency Care Coordinator (PECC) is the central driver of NPRP operationalization. The Improving Pediatric Acute Care Through Simulation (ImPACTS) collaborative formalized the Academic Medical Center (AMC) Partner role\u2014experienced pediatric emergency clinicians providing structured NPRP implementation support to GED PECCs. We characterized AMC Partners\u2019 perceptions of barriers and facilitators to GED NPRP implementation and how AMC Partner facilitation supports PECC operationalization across diverse community settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using the Consolidated Framework for Implementation Research (CFIR 2.0), we conducted semi-structured interviews with 23 AMC Partners (11 physicians, 12 nurses) from the 2023 ImPACTS collaborative, analyzed using hybrid thematic analysis organized by CFIR 2.0 domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Implementation determinants spanned all 5 CFIR 2.0 domains. AMC Partners described the NPRP as a legitimizing framework, with GED implementation depending on leadership engagement, protected administrative time, and relationship-based facilitation. Workforce instability, role ambiguity, and low pediatric volume were persistent barriers. AMC Partners functioned as boundary spanners, translating NPRP standards into local action through site visits, simulation-based systems testing, Pediatric Readiness Score audit and feedback, and iterative mentorship. Absence of regional AMC Partner networks was a critical gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Successful NPRP implementation requires more than PECC designation. Leadership support, protected time, and structured AMC Partner facilitation are essential. These findings inform development of regional AMC Partner network models to extend support to community, rural, frontier, and Tribal emergency departments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/pec.0000000000003643","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:00:34Z","timestamp":1782475234000},"page":"823-829","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Implementing the National Pediatric Readiness Project in Community Emergency Departments"],"prefix":"10.1097","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3124-592X","authenticated-orcid":false,"given":"Elizabeth","family":"Sanseau","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Emergency Medicine, Children\u2019s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cage","family":"Cochran","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibnat","family":"Meah","sequence":"additional","affiliation":[{"name":"School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Michaels","sequence":"additional","affiliation":[{"name":"Improving Pediatric Acute Care Through Simulation (ImPACTS), Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Mollen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Emergency Medicine, Children\u2019s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Auerbach","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"R1-20261030","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1001\/jamapediatrics.2015.138","article-title":"A national assessment of pediatric readiness of emergency departments","volume":"169","author":"Gausche-Hill","year":"2015","journal-title":"JAMA 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hospitals","volume":"34","author":"Whitfill","year":"2018","journal-title":"Pediatr Emerg Care"},{"key":"R15-20261030","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13012-015-0209-1","article-title":"A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project","volume":"10","author":"Powell","year":"2015","journal-title":"Implement Sci"},{"key":"R16-20261030","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"R17-20261030","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13012-021-01181-5","article-title":"Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR Outcomes 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methodology","volume":"222","author":"Ehrlich","year":"2020","journal-title":"Am Heart J"},{"key":"R22-20261030","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1001\/jama.2014.3203","article-title":"Door-to-needle times for tissue plasminogen activator administration and clinical outcomes in acute ischemic stroke before and after a quality improvement initiative","volume":"311","author":"Fonarow","year":"2014","journal-title":"JAMA"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:01:25Z","timestamp":1793350885000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003643"}},"subtitle":["A CFIR 2.0-Guided Qualitative Study of Academic Medical Center Partner Perceptions"],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003643","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"value":"0749-5161","type":"print"},{"value":"1535-1815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"assertion":[{"value":"2026-02-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}